Individual provider Active NPI

Deborah Ann Moore, LMHC

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1033423785
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0132081 Issued in NM
Practice address
2727 San Pedro Dr NE
Suite 111
Albuquerque, NM 87110-3368
Phone
(505) 323-3665
Fax
(505) 323-1038
NPI assigned
Aug 4, 2010
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0132081 NM Primary

Addresses

Primary practice location

2727 San Pedro Dr NE
Suite 111
Albuquerque, NM 87110-3368

Mailing address

2727 San Pedro Dr NE
Suite 111
Albuquerque, NM 87110-3368
Phone (505) 323-3665

Other identifiers 1

IdentifierTypeStateIssuer
04556038MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0132081NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Elevation Counseling, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deborahmoore@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1033423785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 SAN PEDRO DR NE",
            "address_2": "SUITE 111",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103368",
            "telephone_number": "505-323-3665",
            "fax_number": "505-323-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAN PEDRO DR NE",
            "address_2": "SUITE 111",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103368",
            "telephone_number": "505-323-3665",
            "fax_number": "505-323-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0132081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04556038",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.